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Anaesth Intensive Care · Feb 2006
Case ReportsAnaesthesia for major orthopaedic surgery in a child with an acute tracheobronchial injury.
- J Graham and A J Davidson.
- Department of Anaesthesia and Pain Management, Royal Children's Hospital, Melbourne, Victoria.
- Anaesth Intensive Care. 2006 Feb 1;34(1):88-92.
AbstractA 12-year-old boy presented after a motorbike accident with mediastinal and cervical emphysema but no pneumothorax, minor head injury and several fractures including a comminuted open leg fracture. The child had no signs of respiratory compromise and was stable. The presumed tracheobronchial injury was managed conservatively. To avoid general anaesthesia and the risks associated with intubation and ventilation, urgent surgery for correction of his orthopaedic injuries was successfully conducted under spinal, epidural and intravenous regional anaesthesia. The surgical and anaesthetic management of tracheobronchial injury is complex and controversial.
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